NCG020106 DMR SW

II ANNUAL SUMMARY DMR - STORMWATER II
¶ SEND TO CEN7'�AL OF�ICE� .° km
STOIC WATER DISCHARGE OUTFALLS (SDO)
GENERAL PERMIT NO. NCG020000
,wl2ejioik�jLG;S?'ORllI�flTEh -Monitoring 9ata,on this fotin`(meltidingN,�o F16w and No Dtscharje and Permit ,Limii"Yiolati6ni) by YlA-RSH 1;"of,�ach��ear` .
CERTIFICATE OF COVERAGE NO. NCG020106 SAMPLE COLLECTION YEAR: 2015
FACILITY NAME: Pee Dee Quarry COUNTY: Anson
PERSON COLLECTING SAMPLES: N/A PRONE NO. [phone]
CERTIFIED LABORATORY: PACE ANALYTICAL Lab #12 ADD TO LISTERVE? YES ❑ NO ❑ EMAIL:
Part A Cfn,,,,xxwatar Mnnitnrnna Rannmam ante
Date Sample
Outfall Collected
No. (mo/dd/yr OR
NO FLOW)'
In Tier 2
Monthly # of Months in Total Flow
Monitoring? Tier 2 (MG)
(/n) Sampling
Total Suspended Total Event
Solids Turbidity4 Settleable Rainfall Duration
(mg/1) (NTU) Solids (mi/1) (in)
- -
- - -
1003'4 See Footnote '4 0.1 3
No SW Outfalls Exist on Site
Pee Dee Quarry is an undeveloped green site
'If "NO FLOW" or "NO DISCHARGE," enter "NO FLOW" of "NO DISCHARGE" for each outfall here and the Date Range
2Pei NCG02 Tier 2 Monthly Sampling shall be done until 3 consecutive samples aie below the benchmark of within the benchmark range
;If a value is in excess of the benchmark, of outside the benchmark range (fol pH), you must implement the Teir 1 or Tier 2 responses in the General Permit
4TSS benchmark values are 100 mg/1 except in ORW, HWQ, trout, and PNA waters where they are 50 mg/1
5The discharge shall not cause an instantaneous measurement of the turbidity of the receiving water to exceed 10 NTU for freshwater streams, lakes, and reservois designated
as trout waters, 25 NTU for all lakes and reservois, and all salt water, 50 NTU for all other streams and surface waters Turbidity may be monitored at the SDO
Alternatively, the permittee may choose to monitoi turbidity in the receiving water, duectly upstream and downstream of the SDO
Permit Date 1/1/2010-12/31/2014 Last Revised 01-21-11
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Part A• Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month on average
Date Sample
Outfall Collected
No. (mo/dd/yr OR
NO FLOW)'
In Tier 2
Monthly # of Months in New Motor
Monitoring? Tier 2 Oil Usage
(y/n) Sampling (gal/month)
-
Total Flow TPH using method
(MG) 1664A SGT -HEM
(mg/1)
- 153
Total Suspended
Solids
(mg/1)
1003
pH Total Event
(Standard Rainfall Duration
Units) (in)
6-93
N/A
0
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES
AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO ❑
HAVE YOU CONTACTED THE REGION?
WHO AT THE REGION HAVE YOU SPOKEN WITH?
YES ❑ NO ❑
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW". "NO DISCHARGE" & LIMIT
VIOLATIONS) BY MARCH l OF EACH YEAR TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed
to assure that qualified personnel properly gather and evaluate the information sumbitted. Based on my inquiry of the person or persons who manage the
system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate,
and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisionment for knowing
violations." —
2/15/16
(Signature of Permittee) (Date)
Permit Date 1/1/2010-12/31/2014 Last Revised 01-21-11
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